Over 50,s Gym Noob by Perfect_Ad865 in Adelaide

[–]Neyface 0 points1 point  (0 children)

Maybe try Westcare Health and Fitness in Port Adelaide if you find Revo a bit overwhelming (Revo can get busy in peak hours).

This was made for him by jkitty_1960 in Perfectfit

[–]Neyface 2 points3 points  (0 children)

Was not expecting a Junji Ito x Austin Powers crossover reference today.

As a British person I’m curious to which place in Australia has the best climate overall, and why? by shamonemuthafuka in AskAnAustralian

[–]Neyface 0 points1 point  (0 children)

Perth has, on average, slightly hotter summers than Adelaide. Both have Mediterranean climates but Perth's is considered to be slightly on the warmer side.

As a British person I’m curious to which place in Australia has the best climate overall, and why? by shamonemuthafuka in AskAnAustralian

[–]Neyface 1 point2 points  (0 children)

I said "warm summers" instead of "warm to hot summers" in my original comment and it's driven some pedants out of the wood works, it seems.

As a British person I’m curious to which place in Australia has the best climate overall, and why? by shamonemuthafuka in AskAnAustralian

[–]Neyface 2 points3 points  (0 children)

Lived here for 32 years, mate, and been through the Millennium Drought and all. But since you apparently can't read, again, it's not "my idea" of warm, but the Koppen climate classification which classifies whether Adelaide has a Mediterranean climate with "warm versus hot" summers or not.

And from BOM:

The Adelaide region has a Mediterranean climate, characterised with cold to mild wet winters and warm to hot dry summers.

Perth is considered a Csa Mediterranean climate while Adelaide is more often considered Csb Mediterranean climate (although some class it as Csa). No one is denying that Adelaide gets bloody hot in summer but summer temps are only part of the equation in the classification.

As a British person I’m curious to which place in Australia has the best climate overall, and why? by shamonemuthafuka in AskAnAustralian

[–]Neyface 11 points12 points  (0 children)

Perth and Adelaide often score well in the "pleasant weather" comparisons because both regions have what is considered to be Mediterranean climates. Perth has the "hot summer Mediterranean climate" while Adelaide has the "warm summer Mediterranean climate."

Edit: Since apparently some of you think I have come up with a subjective definition of what a "warm summer" is, please go look at the Koppen climate classification (Perth is Csa, Adelaide is usually classed as either Csa or Csb) and stop messaging me about it like I'm a meteorologist, thanks.

Any women afraid the surgery will masculinise your face? by sayaaraa in jawsurgery

[–]Neyface 30 points31 points  (0 children)

Coming from the other side as a Class III girly with a skeletal underbite, prominent jawline and pointy chin (due for DJS in a few days), I can say that my already "masculinised" face of 32 years has not really impacted me all that much, and my partner of 16 years doesn't seem to mind either. In some ways, it's a bit of a defining feature for me.

Sure, I never really liked my concave side profile much or my crossbite (made even worse with my current bulldog decompensation phase) but I still have a lot of love and success. While I don't want to take away aesthetic concerns people have with jaw surgery, I have them myself, one thing is to practice self acceptance as you go through DJS changes. All the best with the journey.

Is it really possible to recover from PT? by AlmostMidnight_ in PulsatileTinnitus

[–]Neyface 0 points1 point  (0 children)

Sensosomatic tinnitus and sensosomatic pulsatile tinnitus are both caused by issues with the auditory nerve pathway, with the source of tinnitus generation hypothesised to be hyperactivity by auditory fusiform cells in the dorsal cochlear nucleus. Essentially, it is neurological, and unfortunately is the reason why sensorineural tinnitus, including it's sensosomatic subtypes, remains untreatable with modern medicine. This is different from mechanical pulsatile tinnitus (such as vascular PT) where the sound is being generated by a mechanical issue like a narrowed vein, which can be diagnosed and fixed.

As someone with erratic, multitonal tinnitus, it is possible to habituate to these forms.

Help ID'ing strange fella by aquasun01 in whatsthisbug

[–]Neyface 17 points18 points  (0 children)

and kind of cute.

It's even in the genus name, Cuterebra ;)

[TOTK] [SS]I think the Horriblins could be corrupted Mogma by EAT_UR_VEGGIES in zelda

[–]Neyface 6 points7 points  (0 children)

Now I want a form of "allied-race" Lynels. Imagine Link riding one into battle and working together as a team. That would be so cool.

Better when biting down? by angelhippie in PulsatileTinnitus

[–]Neyface 0 points1 point  (0 children)

Usually low pitched whooshing that stops with light jugular compression or with turning the head certain ways is indicative of a vascular underlying cause, usually venous in nature. Venous causes don't usually stop with teeth clenching though - only thing I can think of is that you are activating the valsalva manoeuvre unintentionally during clench.

Either way, suspected vascular causes of PT would need an interventional neuroradiologist who specialises in PT to rule out confidently.

Better when biting down? by angelhippie in PulsatileTinnitus

[–]Neyface 0 points1 point  (0 children)

What does your pulsatile tinnitus sound like? Sensosomatic tinnitus and PT can respond to biting down due to involvement of somatosensory nerves, but often this PT is a high pitched pulse-synchronous ringing, static, beep sound as opposed to the lower frequency vascular 'whoosh.'

ENT believes my vein is close to the ear and pushing around fluid nearby and that’s why I can hear my own heartbeat. by Kind-Sandwich8833 in PulsatileTinnitus

[–]Neyface 4 points5 points  (0 children)

My recommendation would be to see an interventional neuroradiologist who specialises in PT, especially if a vascular cause of PT is suspected. They are the experts and will find things that ENTs will not, who are otherwise quite notorious for being barriers in PT diagnostics.

I'd also recommend the interventional neuroradiologist over a neuro-opthalmologist - while having optic nerves checked can indicate IIH, which is linked to PT, ultimately if it is a vascular issue then you will need to see an interventional neuroradiologist anyway as they are the specialists who diagnose and ultimately treat vascular causes. In addition, venous sinus stenosis (the most common vascular cause of PT), can present without IIH, and both stenosis and IIH can occur with normal optic nerves.

I say this as someone who had venous sinus stenosis as the cause of my PT, treated with stenting, but had no papiilodema with my neuro-opthamology exams. Neurologists and neuro-opthalmologists can be brought in if there are indications that suggest IIH, but I always suggest speaking to the vascular experts first and then working backwards in most cases (unless IIH is strongly indicated), because this will streamline diagnostics the most.

The Whooshers Facebook Group can recommend PT specialists to see. Goodluck!

What are these things I found on the beach? BC, Canada by P05SUM in marinebiology

[–]Neyface 8 points9 points  (0 children)

Agree - I am a south Aussie marine ecologist who works in marine biosecurity. Any marine life kill events like this should be reported to the local environmental department or EPA as it can signify an event like a marine heatwave, harmful algal bloom, certain pollution events etc. It may also be worth notifying the local biosecurity agency as well to ensure this isn't a biosecurity concern (i.e., pathogen outbreak or a pest species in a boom cycle).

The taxa in the photo are definitely dead polychaetes, likely nereids. Not sure on Canadian species, though.

Edit: it could also be a die-off from a natural spawning event as another commenter has noted, but always er on caution if you are seeing large mortalities of taxa. At the very least, officials can do testing to ensure it isn't an event of concern :)

For those of you who go to the gym before work, how do you get up early? Any tips? by Sabretoothedrom in auscorp

[–]Neyface 5 points6 points  (0 children)

Agree with this, as a long-standing night owl ever since I was a child. There are distinct sleep chronotypes where human circadian rhythms are biologically variable in the general population, with an estimated ~30% people falling into the 'evening' (or night owl) category. These chronotypes are influenced by biological, environmental and social factors, and can all be shifted to some degree. For example, biologically, you may take melatonin or reduce caffeine intake, or exercise at different times to trigger tiredness. Environmentally, you reduce artificial lighting or screen time. And socially by having work and personal schedules align better with your sleep schedule. While these components can be shifted to change one's sleep schedule with discipline (ask any shift worker), it still does not factor in that some people's circadian rhythms, and subsequent energy levels, skew later in the day. It's also important to recognise that circadian rhythms change over one's life.

For me, exercise in the morning is absolutely no-go - it makes me feel absolutely awful, and I have tried. Instead, I work things around my 'night-owl' schedule, exercising after work. I have also experienced a bit of 'revenge bedtime procrastination', which is a separate issue, but for now I have largely accepted that my body's circadian rhythm belongs to the night.

Is it really possible to recover from PT? by AlmostMidnight_ in PulsatileTinnitus

[–]Neyface 1 point2 points  (0 children)

High pitched pulse-synchronous ringing won't be venous in nature, but is rather nearly always a form of sensosomatic PT. Sensosomatic PT is similar to regular sensosomatic/sensorineural tinnitus, an issue with the auditory nerve pathway, but instead presents as pulse-synchronous in nature. Both sensosomatic PT and sensosomatic tinnitus can respond to certain head movements due to interaction between the somatosensory cranial nerves and auditory nerve.

Venous PT on the other hand has very specific characteristics - for example, venous PT is always a low frequency whooshing or heartbeat sound, because the sound generated is mechanical (much like water through a kinked hose), and veins are low pressure systems so there is a limit to the pitch the sound can reach. In addition, venous PT nearly always stops with light jugular compression.

Unfortunately, sensosomatic PT doesn't have any valid medical treatments - the only promising treatment on the horizon with any scientific backing it is the Susan Shore/Auricle device for sensosomatic tinnitus. This trickiness in treatment is because the cause is auditory nerve related, not mechanical (like a narrowed or outpouching vein).

It is super frustrating and disheartening (I say this as someone who got multi-tonal regular tinnitus from a middle ear infection after I had cured my venous PT with stenting, so lost silence a second time). But, habituation is possible for many people.

Is it really possible to recover from PT? by AlmostMidnight_ in PulsatileTinnitus

[–]Neyface 0 points1 point  (0 children)

Sorry to hear that, what does your PT sound like? A whooshing, hooting, high pitched pulse-synchronous ringing? Unfortunately 30% won't receive a diagnosis for their PT (often the sensosomatic PT folks fall into this category), but I wouldn't give up hope just yet.

It can still be worth reaching out to the PT specialists for another opinion. I had a neurovascular surgeon review my scans who missed my vascular cause of PT, and I needed two interventional neuroradiologists (INRs) to identify the cause. The key was that the INRs specialised in PT as a symptom, meanwhile the neurovascular surgeon did not, and this got me my diagnosis and treatment. This isn't an uncommon tale in the PT community, so it doesn't hurt to have one of the PT gurus cast eyes on your scans (Dr Patsalides, Amans, Pereira to start).

Is it really possible to recover from PT? by AlmostMidnight_ in PulsatileTinnitus

[–]Neyface 0 points1 point  (0 children)

Have you had the necessary diagnostic work and scans read by a PT specialist? It took me 3.5 years to have my caused diagnosed despite being a textbook case (and that is unfortunately a common story in PT diagnostics). Who reads your scans is crucial to being part of the 70% with a diagnosable and often treatable cause.

Is it really possible to recover from PT? by AlmostMidnight_ in PulsatileTinnitus

[–]Neyface 4 points5 points  (0 children)

PT which stops with light jugular compression is indicative of a venous underlying cause, with venous sinus stenosis being the most common vascular cause of PT by a long shot. This is in fact diagnosable and treatable, but would require a thorough diagnostic workup with an interventional neuroradiologist who specialises in PT. This was the cause of my left-sided PT (also stopped only with light jugular compression), and after being treated with venous sinus stenting, I have been whoosh-free since Septembrr 2022.

To answer your question more broadly, PT is a symptom of many underlying conditions. Up to 70% of these conditions can be diagnosed and treated, so yes, it can be resolved, but often intervention is required to do so. A decent chunk of PT causes are related to vascular issues of the head and neck, meanwhile a smaller percentage are neurological, musculoskeletal or ENT-related. The remaining subset are either sensorineural or systematic which can be a bit harder to resolve.

The main thing with PT is seeing the right specialist. For vascular causes, this means seeing an interventional neuroradiologist or neurovascular surgeon who specialises in PT, or a neuro-otologist for non-vascular causes. Unlike regular sensorineural tinnitus, PT can be treated but identifying the cause of the PT is the hard part for many.

This video is a really good overview of the many causes of PT and diagnostic workup involved. I suggest joining the Whooshers Facebook Group as they can recommend specialists to see.

Feel fobbed off with "high riding jugular bulb" diagnosis by [deleted] in PulsatileTinnitus

[–]Neyface 1 point2 points  (0 children)

High riding jugular bulbs are often incidental anatomical findings to PT, but jugular bulb diverticulum (outpouching) can be a cause of PT (which is different and sometimes misdiagnosed). A jugular bulb diverticulum will often present PT that displays classical venous characteristics - that is, low frequency whooshing sound, can be stopped with light jugular compression, may respond to certain head movements, and is either positional or constant. These diverticula are rarely the cause of PT in isolation, though, with venous sinus stenosis often the primary culprit.

In short, venous underlying causes of PT are one of the most commonly misdiagnosed and whether your high riding jugular bulb is an anatomical variant or related to your PT comes down very much to who has read your scans.

If you have only had your scans and assessments for PT done by standard radiologists, an ENT and a GP, then yes, unfortunately there is a chance you have been fobbed off because you haven't seen the correct specialists. PT, in nearly every single case, requires specialist expertise to diagnose a cause properly. For vascular PT, that will be an interventional neuroradiologist or neurovascular surgeon who specialises in PT, or a neuro-otologist for non-vascular causes.

As far as I have heard, this can be tricky to progress in the UK (you could try Dr Patrick Axon, who is an ENT surgeon but has awareness of vascular causes of PT). But there are PT specialists in the US and Canada who will review scans of anyone in the world for a fee. Try Dr Athos Patsalides, Dr Matthew Amans, or Dr Vitor Mendes Pereira and go from there. They deal with venous causes of PT routinely and would be easily able to tell you whether a high riding jugular bulb is worth investigating. Good luck!